Benchmarking the US physician workforce: An alternative to needs-based or demand-based planning

JAMA

Volumn 276, Issue 22, 1996, Pages 1811-1817

  Goodman, David C ^a   Fisher, Elliott S ^a,b   Bubolz, Thomas A ^a   Mohr, Jack E ^a   Poage, James F ^a   Wennberg, John E ^a  

^a DARTMOUTH MEDICAL SCHOOL   (United States)

^b VA MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; CLINICAL PROTOCOL; GENERAL PRACTITIONER; HEALTH CARE NEED; HEALTH CARE UTILIZATION; HEALTH INSURANCE; HUMAN; MAJOR CLINICAL STUDY; MANPOWER PLANNING; MEDICAL FEE; MEDICAL SOCIETY; MEDICAL SPECIALIST; PHYSICIAN; POPULATION; PRIORITY JOURNAL; UNITED STATES;

EID: 0029949709     PISSN: 00987484     EISSN: None     Source Type: Journal    
DOI: 10.1001/jama.276.22.1811     Document Type: Article

References (37)

1. Tarlov AR. Estimating physician workforce requirements: the devil is in the assumptions, JAMA. 1995;274:1558-1560.
2. American Medical Association. Distribution of Physicians in the US. Chicago, Ill: American Medical Association; 1971.
3. American Medical Association. Physician Characteristics and Distribution in the US. Chicago, Ill: American Medical Association; 1994.
4. US Dept of Health, Education, and Welfare, Bureau of Health Resources Development. Osteopathic Physicians in the United States. Washington, DC: Bureau of Health Resources Development, US Dept of Health, Education, and Welfare; 1975. Publication No. HRA 75-60.
5. Mulhausen R, McGee J. An alternative projection from a study of large, prepaid group practices. JAMA. 1989;261:1930-1934.
6. Wennberg JE, Goodman DC, Nease RF, Keller RB. Finding equilibrium in U.S. physician supply. Health Aff (Millwood). 1993;12:89-103.
7. Weiner JP. Forecasting the effects of health reform on US physician workforce requirement. JAMA. 1994;272:222-239.
8. Whitcomb ME. A cross-national comparison of generalist physician workforce data. JAMA 1995; 274:692-695.
9. Rivo ML, Satcher D. Improving access to health care through physician workforce reform. JAMA. 1993;270:1074-1078.
10. Schwartz A, Ginsburg PB, LeRoy LB. Reforming graduate medical education. JAMA. 1993;270: 1079-1082.
11. Cohen JJ, Todd JS. Association of American Medical Colleges and American Medical Association joint statement on physician workforce planning and graduate medical education reform policies. JAMA. 1994;272:712.
12. Schroeder SA. The latest forecast: managed care collides with physician supply. JAMA. 1994; 272:239-240.
13. Pew Health Professions Commission. Critical Challenges: Revitalizing the Health Professions for the Twenty-first Century. San Francisco, Calif: University of California, San Francisco Center for the Health Professions; 1995.
14. Cohen JJ. Generalism in medical education: the next steps. Acad Med. 1995;70:S7-S9.
15. Graduate Medical Education National Advisory Committee. Report of the Graduate Medical Education National Advisory Committee to the Secretary, Department of Health and Human Services. Vol 1. Washington, DC: Office of Graduate Medical Education, Health Resources Administration, Public Health Service, US Dept of Health and Human Services; 1980.
16. Tarlov AR. HMO enrollment growth and physicians: the third compartment. Health Aff (Millwood). 1986;4:23-35.
17. Wennberg JE. Outcomes research, cost containment, and the fear of health care rationing. N Engl J Med. 1990;323:1202-1204.
18. Marder WD, Kletke PR, Silberger AB, Willke RJ. Physician Supply and Utilization by Specialty: Trends and Projections. Chicago, Ill: American Medical Association; 1988.
19. Schwartz WB, Williams AP, Newhouse JP, Witsberger C. Are we training too many subspecialists? JAMA. 1988;259:233-239.
20. Bureau of Health Professions. Health Personnel in the United States: Eighth Report to Congress. Rockville, Md: US Dept of Health and Human Services; 1992.
21. Cooper RA. Perspective on the physician workforce to the year 2020. JAMA. 1995:274:1534-1543.
22. Wennberg JE, Gittelsohn A. Variation in health care among small areas. Science. 1973;246:120-134.
23. Lewis CE. Variations in the incidence of surgery. N Engl J Med. 1969;281:880-884.
24. Roos NP, Flowerdew G, Wajda A, Tate RB. Variations in physicians' hospitalization practices: a population-based study in Manitoba, Canada. Am J Public Health. 1986;76:45-51.
25. Wennberg JE, and the Dartmouth Atlas of Health Care Working Group. The Dartmouth Atlas of Health Care in the United States. Chicago, Ill: American Hospital Association; 1996:198-223.
26. InterStudy. InterStudy Competitve Edge 5.2. St Paul, Minn: InterStudy Publications; 1995.
27. Jacobsen S, Rimm A. The projected physician surplus reevaluated. Health Aff (Millwood). 1987; 6:48-56.
28. National Centerfor Health Statistics. National Ambulatory Medical Care Survey [machine-readable data file]. Washington, DC: National Center for Health Statistics; 1989-1992.
29. Pagano M. Principles of Biostatistics. Belmont, Calif: Duxbury Press; 1993.
30. Krakaur H, Jacoby I, Millman M, Lukomnik JE. Physician impact on hospital admission and on mortality rates in the Medicare population. Health Serv Res. 1996;31:191-211.
31. Fisher ES, Welch HG, Wennberg JE. Prioritizing Oregon's hospital resources. JAMA. 1992; 267:1925-1931.
32. Goodman DC, Barff RA, Fisher ES. Geographic barriers to child health services in rural northern New England: 1980 to 1989. J Rural Health. 1992; 8:106-113.
33. Politzer RM, Harris DL, Gaston MH, Mullan F. Primary care physician supply and the medically underserved. JAMA. 1991;266:104-109.
34. Kindig DA. Counting generalist physicians. JAMA. 1994;271:1505-1507.
35. American Medical Association. Socioeconomic Characteristics of Medical Practice. 1995 ed. Chicago, Ill: American Medical Association; 1995.
36. Dial TH, Palsbo SE, Bergsten C, Gabel JR, Weiner J. Clinical staffing in staff- and group-model HMOs. Health Aff (Millwood). 1995;14:168-180.
37. Kronick R, Goodman DC, Wennberg JE, Wagner E. The marketplace in health care reform: the demographic limits of managed competition. N Engl J Med. 1993;328:148-152.